Ptosis - breast lift and/or breast reduction to improve my comfort and alleviate the friction-induced rashes? (photos)

Question

I'm exploring the possibility of a breast lift or reduction to improve my comfort and alleviate the friction-induced rashes and discomfort under my inframammary fold. I'm not interested in breast implants. What would be your professional recommendation for addressing these concerns and achieving the best outcome for my comfort and well-being?

Gary M. Horndeski, MD · Answer

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

J. Timothy Katzen, MD, FACS · Answer

Dear AURAL199,
Thank you for your question about whether a breast lift, a breast reduction, or both would be most beneficial for alleviating discomfort and friction-induced rashes under your breasts.
Assessment Based on Your Photo:
Your description and the middle picture you provided suggest that a breast reduction would be the most appropriate procedure to address your concerns.
Breast Reduction Procedure:
I recommend an anchor or inverted T pattern for your breast reduction. This involves:
A 360-degree periareolar incision around the areola.
A vertical incision extending from the bottom of the areola to the infra-mammary fold.
A horizontal incision along the infra-mammary fold from the lateral to the medial breast.
This approach allows for the removal of excess skin and tissue, particularly from the lateral, medial, and superior aspects of the breast.
Benefits of the Procedure:
Alongside reducing the size of your breasts, this method also provides a breast lift.
By decreasing the overall volume of the breasts, this procedure should significantly reduce the friction and subsequent rashes under the breasts. It also improves air circulation to the area, reducing the risk of bacterial or fungal infections.
Conclusion:
Considering your specific concerns, an anchor breast reduction combined with a breast lift appears to be the most effective solution. A simple lift without size reduction might not sufficiently alleviate the issues you're experiencing.
I hope this guidance helps in making an informed decision for your comfort and health. Wishing you the best as you proceed with your surgical journey.
Sincerely,
Dr. Katzen

Joel Patrick Maier, MD · Answer

It looks like you have mild ptosis so it would be a subtle lift, a real finesse case. Nonetheless, it can be done with lifting and reshaping and with no implant. Make sure you review photos so you can make sure your expectations will be met. Thank you.

Joshua T Halka, MD · Answer

You likely won't have enough tissue to have what most insurance companies would consider a breast reduction, so to address your rashes in the fold under your breast, a breast lift or "mastopexy" would be a great option. Having a lift could raise the mound of your breast on the chest wall and reduce the amount of "fold" you have under your breast to help decrease the amount of rashes and irritation you are getting.
Hope this helps!

Lane Smith, MD · Answer

You could get a breast lift or mastopexy. This would reduce your inframammary fold and stop the friction. If you would like to be seen for a consult, feel free to reach out to my office. Smith Plastic Surgery 702-838-2455

Ronald J. Edelson, MD · Answer

You are a good candidate for a lift. Just bear in mind the scars involved. Also your breasts will be quite a bit smaller than you think but you can always add an implant later if you wish

Scott C. Lindsay, DO · Answer

Thanks for your question! Based on your goals and concerns, I do think that a vertical or lollipop mastopexy would be the best course of action for you. I would suggest an in-person consultation for an accurate evaluation. Good luck!

Connie Hiers, MD, FACS · Answer

You could have a breast lift or a small reduction, which includes a lift. With a small reduction, your breasts will be less heavy and less likely to sag with time.

Bryan Curtis, MD · Answer

Breast ptosis, also known as sagging breasts, can be addressed through breast lift surgery (mastopexy) to improve the overall shape and position of the breasts. If your primary concern is comfort and alleviating friction-induced rashes, a breast lift may be sufficient. 
Breast reduction surgery (reduction mammoplasty) is typically recommended when you want to reduce the size of your breasts along with addressing sagging. This procedure can also help alleviate discomfort, rashes, and other issues associated with large breasts.
It’s important to consult with a board-certified plastic surgeon who can assess your specific situation and recommend the most appropriate surgical option based on your goals and medical history. They will discuss the potential benefits and risks of each procedure and help you make an informed decision.

Karl William Schwarz, MD · Answer

If you want your breasts to be the same size but just in a higher location to look and fell better and help with the rashes than I would suggest doing a breast lift (mastopexy). If you want to accomplish all the same things but have your breasts smaller than I would suggest a breast reduction.

In other words, a breast lift and breast reduction are essentially the same operation except a lift leaves you about the same size, and a reduction makes you smaller.

In other words, a breast lift and breast reduction are essentially the same operation except a lift leaves you about the same size, and a reduction makes you smaller.

Ptosis - breast lift and/or breast reduction to improve my comfort and alleviate the friction-induced rashes? (photos)

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